Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $117.49 / $281.84	Facility		$112.20	$117.49	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $194.98	Professional		$104.71	$120.23	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $549.54 / $660.69	Facility		$467.74	$549.54	$660.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $245.47	Professional		$117.49	$158.49	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $158.49 / $562.34	Professional		$38.02	$158.49	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $1,659.59	Facility		$263.03	$512.86	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $295.12	Professional		$104.71	$181.97	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $173.78 / $181.97	Professional		$125.89	$173.78	$181.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $251.19	Professional		$177.83	$199.53	$251.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $190.55 / $309.03	Facility		$114.82	$190.55	$309.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $134.90 / $295.12	Facility		$31.62	$134.90	$295.12
Sentara Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $154.88 / $426.58	Professional		$34.67	$154.88	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $186.21 / $1,862.09	Facility		$37.15	$186.21	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $288.40	Professional		$112.20	$190.55	$288.40